Individual provider Active NPI

Cheryl Ann Sartain, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Reston, VA
National Provider Identifier
1255648051
Registry record updated Dec 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP127119 Issued in TX
Practice address
1768 Business Center Dr Ste 100
Reston, VA 20190-5359
Phone
(800) 762-9244
Fax
(786) 672-6006
NPI assigned
Sep 1, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R26473 ND
Psychiatric/Mental Health Registered Nurse 163WP0808X 868542 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP127119 TX Primary

Addresses

Primary practice location

1768 Business Center Dr Ste 100
Reston, VA 20190-5359

Mailing address

1768 Business Center Dr Ste 100
Reston, VA 20190-5359
Phone (800) 762-9244

Other practice location 1

1380 River Bend Dr
Dallas, TX 75247-4914
Phone (214) 743-1200

Other identifiers 2

IdentifierTypeStateIssuer
054517MedicaidND
84029MedicaidND

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20101208001249 ND Practitioner - Nurse Practitioner 2163619784 Reassigns benefits to 3 organizations
I20150422002103 TX Practitioner - Nurse Practitioner 2163619784 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Rush Medical College of Rush University, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Access Telecare PLLCGroup PAC ID 7810204831, 409 clinicians
Mitchell County Hospital DistrictGroup PAC ID 9739071176, shared by 4 NPIs, 7 clinicians

Practice addresses (Care Compare)

Harvey, ND 58341
Phone (972) 449-0540

997 W Interstate 20
Colorado City, TX 79512-2685
Phone 32572885227590

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
868542TXMDPsychiatric/Mental Health Registered Nurse
R26473NDMDPsychiatric/Mental Health Nurse Practitioner
AP127119TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
El Paso Community MHMR CurrentSince Mar 25, 2021 Accepting new patients
El Paso Community MHMR CurrentSince Mar 25, 2021 Accepting new patients
PSJ Acquisition LLC Current Accepting new patients
Burke Center CurrentSince Sep 10, 2018 Accepting new patients
Border Region MH Mr Community Center CurrentSince Jan 1, 2024 Accepting new patients
PSJ Acquisition LLC CurrentSince Nov 2, 2015 Accepting new patients
Helen Farabee Centers CurrentSince Apr 15, 2016 Accepting new patients
The Gulf Coast Center CurrentSince Sep 1, 2016 Accepting new patients
Rural Mental Health Consortium Past Accepting new patients
Burke Center PastSince Sep 10, 2018 Accepting new patients
Ap US 14, PA PastSince Oct 15, 2023 Accepting new patients
Access Telecare California, P.C. PastSince Sep 16, 2023 Accepting new patients

Locations

510 4th St S
Fargo, ND 58103
Phone (701) 476-7200

201 E Main Dr
Ste 600
El Paso, TX 79901
Phone (915) 887-3419

1500 Pappas St
Laredo, TX 78041
Phone (956) 794-3000

4444 W Main St
League City, TX 77573

2001 S Medford Dr
Lufkin, TX 75901
Phone (936) 633-5672

7510 FM 1765
Texas City, TX 77591
Phone (409) 935-6083

500 Broad St
Wichita Falls, TX 76301
Phone (940) 397-3300

1000 Brook Ave
Wichita Falls, TX 76301
Phone (940) 397-3100

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1283299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607040000000",
    "number": "1255648051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1768 BUSINESS CENTER DR STE 100",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201905359",
            "telephone_number": "800-762-9244",
            "fax_number": "786-672-6006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1768 BUSINESS CENTER DR STE 100",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201905359",
            "telephone_number": "800-762-9244",
            "fax_number": "786-672-6006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1380 River Bend Dr",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752474914",
            "country_code": "US",
            "telephone_number": "214-743-1200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SARTAIN",
        "first_name": "CHERYL",
        "middle_name": "ANN",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-01",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ND",
            "license": "R26473",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "TX",
            "license": "868542",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP127119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "054517",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "84029",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reston, VA

Sources for this page

Verify at the official NPI Registry.